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Individual
LAUREN RACHEL CLARK
Active
Individual
LAUREN RACHEL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
PA15281
TX
363A00000X
Physician Assistant
Primary
PA15281
TX
Other
Enumeration date
04/01/2020
Last updated
08/23/2022
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